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oral path > chpt 11 > Flashcards

chpt 11 Flashcards

1
Q

Persistent enlargement in the submandibular gland

A

Kuttner’s tumor

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2
Q

All ages

Fluctuant to firm

Lower lip 60%

Superficial form post. BM

A

Mucocele

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3
Q

Epithelial lined cavity
May represent duct obstruction
Adults; major glands parotid; minor glands FOM, BM and lips

A

Salivary duct cyst

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4
Q

Mucocele or mucus cyst - treatment

A

Remove surgically with adjacent glands

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5
Q

mucocele, floor of the mouth

Raises tongue
Worries patient
May rupture

A

Ranula

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6
Q

Mucous escape reaction in FOM
Plunging ranula when spilled mucin dissects mylohyoid

A

ranula

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7
Q

treatment for ranula

A

removal of feeding sublingual gland and/or marsupialization

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8
Q

salivary stone symptoms

A

2 days duration
On/off swelling
Progressive pain
Worse at mealtime
Temperature at examinatio

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9
Q

Most often ductal system of submandibular gland
Major gland sialoliths cause episodic swelling especially at mealtime
Salivary gland endoscopy and lithotripsy

A

sialolithiasis

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10
Q

Sialagogues, moist heat and increased fluid intake may promote passage of stone
Minor gland involvement surgical removal; sometimes may need to remove major gland

A

sialolithiasis

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11
Q

Infectious and non-inf. causes
Mumps and surgical mumps (NPO and atropine)
Staphlococcus aureus; acute bacterial sialadenitis (ABS)
Non-infectious; Sjogren Syn. sarcoidosis, radiation therapy and various allergens

A

Sialadenitis

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12
Q

Acute bacterial sialadenitis most common parotid; bilateral 10-25%
Affected gland swollen, painful and overlying skin erythematous
Low-grade fever, possibly trismis and purulent discharge from duct orifice

A

sialadenitis

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13
Q

Sialography sialectasia proximal to obstruction
In submand. G. persistent enlargement (Kuttner tumor)
Subacute necrotizing S. involves minor glands of hard and soft palate represents painful intact nodule

A

Sialadenitis

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14
Q

involves minor glands of hard and soft palate represents painful intact nodule

A

subacute necrotizing sialadenitis

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15
Q

3 subtypes of cheilitis glandularis

A
  1. Simple
  2. Superficial suppurative → BAELZ’S disease
  3. Deep suppurative → Cheilitis glandularis apostematosa
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16
Q
  • Rare inflammatory condition of minor salivary glands
  • Lower lip with swelling and eversion as a result of hypertrophy and inflammation of the glands. The openings of minor salivary ducts are inflamed and dilated and pressure on the glands may produce mucopurulent secretions from the ductal openings
  • Affects middle aged and older MEN
A

cheilitis glandularis

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17
Q

•Tx of persistent cheilitis glandularis with actinic damage

A

VERMILLIONECTOMY

18
Q

what is the danger of cheilitis glandularis?

A

o 18-35% of cases are associated with SCC due to actinic change

19
Q

• excessive salivation

A

Sialorrhea

20
Q
  • location irritations such as apthuous ulcers and new dentures
  • GERD
  • Heavy metals and rabies
  • Medications: lithium and cholinergic agonists
A

Causes of Sialorrhea

21
Q

o Episodes of excessive salivation lasting 2-5 minutes
o Episodes are associated with a prodrome of nausea or epigastric pain

A

idiopathic paroxysmal siallorhea

22
Q

o Anticholinergic medications
o Transdermal scopolamine (use in ppl > 10 yrs)
o Surgery if the problem is neuromuscular
o Control GERD if this is a factor

A

treatment for sialorrhea

23
Q

• Drooling problem in pts who are mentally retarded, have a neuromuscular disorder like cerebral palsy (cp) or who have had surgical resection of the mandible; NOT due to overproduction of saliva but due to poor neuromuscular control

A

sialloehea

24
Q

Treatment of acute sialadenitis

A

Antibiotics and rehydration

25
Q

How differentiate sialadenitis from salivary gland tumor

A

Sialdenitis will have pain

26
Q

First, Second, and Third leading cause of Xerostomia

A

DRUGS

27
Q

What’s the anti rule for xerostomia

A

if it’s an anti drug (e.g. antidepressant) it causes xerostomia

28
Q

Treatments for Xerostomia

A

Biotene
Prevident 5000
Pilocarpine 5 mg tabs

29
Q

What infection is seen with Xerostomia

A

candidiasis
Cervical and root caries

30
Q

This is a cause of Xerostomia that is normally a unilateral swelling of the parotid gland

A

Benign lymphoepithelial lesion

31
Q

What is the characteristic histo associated with Benign Lymphepithelial Lesion

A

epimyoepithelial islands

32
Q

Symptoms associated with Sjogren syndrome or any xerostomia

A

red tender oral mucosa
Angular cheilitis
Candidiasis
Cervical Decay
Difficulty swallowing
Altered taste
Retrograde bacterial sialadenitis

33
Q

Fruit laden branchless tree

A

Sialographic look or Sjogren syndrome

34
Q

tear test for Sjogren Syndrome

A

Schirmer test (<5mm tears for 5 min = Keratoconjuctivitis sicca)

35
Q

NON INFLAMMATORY disorder characterized by salivary gland enlargement, especially parotid, usually do to some underlying systemic problem

A

Sialadenosis/Sialosis

36
Q

Systemic conditions associated with Sialadenosis

A

Diabetes melitis Malnutrition
Alcoholism
Bulimia

37
Q

Locally destructive inflammatory condition of salivary glands caused by ischemia that leads to local infarction. The problem is it mimics a malignant process clinically and microscopically

A

Necrotizing Sialometaplasia

38
Q

What is one way to differentiate Necrotizing Sialometaplasia from Oral Cancer

A

Cleaner borders around the lesion (cancer has ragged borders)

39
Q

Where is Necrotizing Sialometaplasia commonly found

A

Posterior Palate salivary glands (squamous cell carcinoma rare on palate)

40
Q

Treatment for Necrotizing Sialometaplasia

A

Biopsy and no treatment, will resolve in 5-6 weeks

41
Q
A

oral path (13 decks)

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